Jerry L. Laster, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G8234 Issued in TX

Practice address

17218 Preston Rd Ste 2000
Dallas, TX 75252-4018

Phone

(877) 866-7123

Fax

(877) 284-8933

NPI assigned

Jul 16, 2006

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vohra Post Acute Care Physicians of Texas, PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1821424789
  Medicare reassignment NPD
• Charles J. Rodman, MD PA

  dba Vein Centers of Texas

  • Vascular Surgery Physician
  • Beaumont, TX
  • NPI 1215092689
  NPD (past)
• East Texas Surgical Associates, PA

  • Surgery Physician
  • Beaumont, TX
  • NPI 1497892152
  NPD (past)
• Hood Medical Group

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1225096472
  NPD (past)
• Freeman-Oak Hill Health System

  dba Freeman Physician Group

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Family Medicine

  NPD (past)
• Nevada Medical Clinic L.L.C.

  • Rural Health Clinic/Center
  • Nevada, MO
  • NPI 1104821867

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1619994423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742712",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742712",
            "telephone_number": "877-866-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17218 PRESTON RD STE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752524018",
            "telephone_number": "877-866-7123",
            "fax_number": "877-284-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "JERRY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G8234",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G8234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "G8234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F0717",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181470902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181470901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00720965",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181470903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magen Lea Lasker, CRNA
• Ruby Laskin, M.D.
• Sonia Laskin, LAT, ATC
• Lasri Home Health Inc
• Branden Lassen, PA-C
• Frank M Lastoczy, MD
• Mattie Lastovica
• Latchkey Home Services, LLC (LatchkeyRN)
• Adnan Mohammed Lateef
• Celeste Elaine Latham, D.D.S.

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.